Uterine artery pseudoaneurysm after laparoscopically assisted vaginal hysterectomy: A case report

Abstract

　We present a rare case of rupture of uterine pseudoaneurysm following laparoscopically assisted vaginal hysterectomy (LAVH). A 49-year-old gravida 4, para 4 experienced menorrhagia resulting in anemia. She was administered three doses of gonadotropin-releasing hormone agonists and subsequently underwent LAVH. She developed stomach ache on postoperative day 8, and abdominal computed tomography (CT) revealed hemoperitoneum. She was diagnosed with a ruptured pseudoaneurysm based on contrast-enhanced CT and underwent uterine artery embolization on the same day.

　Clinicians should consider pseudoaneurysm rupture leading to hemoperitoneum among the differential diagnosis in women presenting with profuse vaginal bleeding as the primary symptom.